Effects of sensory reeducation programs on functional hand sensibility after median and ulnar nerve repair: A systematic review

Miller, Leanne, Chester, Rachel ORCID: https://orcid.org/0000-0003-1979-0682 and Jerosch-Herold, Christina ORCID: https://orcid.org/0000-0003-0525-1282 (2012) Effects of sensory reeducation programs on functional hand sensibility after median and ulnar nerve repair: A systematic review. Journal of Hand Therapy, 25 (3). pp. 298-307.

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Abstract

Introduction: This is the first systematic review looking at the effectiveness of sensory re-education programmes on functional sensibility which focuses purely on clinical trials of adult patients with median and ulnar nerve injuries. Methods: A literature search of AMED, CINAHL, Embase and OVID Medline (from inception to July 2011) was undertaken. Studies were selected if they met the following inclusion criteria: controlled trials (with or without randomization) of sensory re-education, including early and late phase, in adults with median and/or ulnar nerve repair. Two independent assessors rated study quality and risk of bias using the 24 point MacDermid Evaluation Tool. Results: A total of seven articles met the inclusion criteria representing five separate studies Study quality ranged from 13 to 33 out of 48 points on the Evaluation Tool. Due to heterogeneity of the interventions and outcomes assessed it was not possible to pool the results from all studies. There is limited evidence to support the use of early and late SR programmes. Conclusion: Further trials are needed to evaluate the effect of early and late sensory re-education which are adequately powered, include validated and relevant outcomes and which are reported according to CONSORT (Consolidated Standards of Reporting Trials) guidelines.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > School of Rehabilitation Sciences (former - to 2014)
Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation
Faculty of Medicine and Health Sciences > Research Centres > Population Health
Depositing User: Pure Connector
Date Deposited: 06 Jan 2014 14:44
Last Modified: 19 Oct 2023 01:12
URI: https://ueaeprints.uea.ac.uk/id/eprint/45751
DOI: 10.1016/j.jht.2012.04.001

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